2244 E VERMONT AVE (4)City of Anaheim Inspections 1-5:
1. All plumbing to be completed and the system pressurized to 35 lbs. with water
BUILDING DIVISION or house pressure.
2. All metal within 5 feet of pool water, and all pool equipment, must be bonnded
INSPECTION RECORD to pool reinforcing steel with 08 solid copper wire. Niche light shell, deck inserts,
etc. shall be bonded to pool rebar.
SWIMMING POOL 3. Pool equipment is not required to be set at this time.
Inspections 8.10:
ADDRESS: 2244 E VERMONT AVE, ANAHEIM, CA 92806 1. Underground electric Inspected prior to backfilling.
2. Gas line test at 100 for 15 minutes with 150 gauge.
OWNER: JUAN CARLOS GALLEGOS MORALES ALBA GALLEGOS 3. when polyethylene gas piping Is used, a cerO6cate from a certified Installer
PERMIT #: SW12021-00144 and tracer wire shall be provided per CPC 1210.1.7.2 APPENDIX I.
DATE ISSUED: 11/24/2021
DESCRIPTION: Repair or Alteration of Existing Pool: Remove portion
of existing pool and remodel remaining 350 sf. of pool
uri�6 cocoa. kM. conA Cn wf
POST THIS CARD WITH THE APPROVED PLANS
IN A CONSPICUOUS PLACE ON THE JOB SITE
Inspection Inspector
jod
1. Main Drain 1 l �; .
2. Electric Bonding era,
3. Steel ,
4. Approval to Gunite
DO NOT GUNITE POdUSPA
until all the above inspections have been signed.
5. BLD -Steel and Electric bonding
(Rock Structures,Slides Etc)
508
7
7��/
/2 /✓a�,�,
DO NOT GUNITE ROCK STRUCTURE)
(water feature, rock slide, fountain, waterfall, grotto etc.) until the above Inspection has
been signed.
6. Underground Electric
512
7. Gas Piping Test
514
8. P -Trap Receptor
516
9. Backflow
'518
10. Deck, Deck Drains,
Equipotential & Accessory
Bondina
520
Z J
a i
DO NOT POUR FLATWORK
until all the above inspections have been signed.
11. Rough Electrical 522
12. Fencing/Door Alarms 524
13. Plaster approval 526 J,'{ a
DO NOT PLASTER
until all the above inspections have been signed.
14. Final Electric 528
Sub -Contractors List MUST be approved and pool cover on site
PRIOR to Pool Final inspection request
FINAL INSPECTION CODE DATE INSPECTOR
15. Rough Demo 527
16. Final 599
MISC. INSPECTIONS Date Inspector
fbldjobcards
Inspections 11.13:
1. Rough electric inspection when all wiring is completed and ready prior to the
Plastering of pootispa. Potting compound in place at plastic fight niche.
2. Current Code requires that any pool, spa or water feature
contacting water 19 inches or more in depth shall be enclosed by a barrier
adequate to prevent entry of small children. The barrier shall comply with
Section 3109 of current CBC and CRC APPOENDIX V specifying the height of
any fence provided as barrier to the pool &- shall be 60' above grade on the
outside of the fence.
3. Doors from a garage shall meet the requirements for a gate. Glass
windows within 5' of pool water shall be tempered glass.
4. Prior to pre -plaster Inspection, streets, curbs and city sidewalks will be
Inspected for any damage due to construction of pool or spas.
5. Grading complete with positive drainage to street or public way. All
exposed plastic pipe shall be painted to protect from sunlight
Insoectlons 1416:
1. Gas and Elecbical completely removed and 2x2 holes at bottom of pool
end/or isolated elements.
2. Pool back illed:
A.) With More build - self -compacting sand 95% with receipt
B.) No future build - any fill.
3. After pool Is operating and In working condition with approved pool cover on
site.
INSPECTION REQUESTS
Inspection requests made prior to 5:00 pm Monday - Friday
will be scheduled on the following workday.
To schedule your building Inspection online, please go to
https://aca.anaheim.neUCitizenAcsess
Inspection can normally be reached between
7:30 - 8:00 A.M.
(714)765-5153 + 0
To access your inspection timeframe:
Please go to www.anaheim.net/building after 7:30am on the day of your
Inspection. Under Online Services, dick on the link *inspection
Timeframes' or cell (714) 765-5153 + 0
A
CITY OF ANAHEIM
Permit Number: SW12021-00144
Issued: 11/24/2021
www.anaheim.net/building
(714)765-4626
Quarter Section: 114
Site Address: 2244 E VERMONT AVE, ANAHEIM, CA 92806
Legal Description: N TR 6809 LOT 123
APN:25313307
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
Project Description: Repair or Alteration of Existing Pool: Remove portion of existing pool and remodel remaining 350 sf. of pool with new
baja and 50 sf. spa. Remove unpermitted rear patio cover. REF:INV2021-00354
People Associated with Project:
Permit Applicant Alba Gallegos
Owner JUAN CARLOS GALLEGOS MORALES ALBA 2244 E VERMONT AVE ANAHEIM, CA 92806
OWNER - BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's License State Law for the following reasons) Indicated below by the
checkmark(s) I have placed next to the applicable Item(s) (Sec. 7031.5 Business and Professions Code: any city or county which requires a permit to
construct, alter, Improve, demolish or repair any structure, prior to Its Issuance, also requires the applicant for the permit to file a signed statement that he
or she Is licensed pursuant to the provisions of the Contractors' State License Law Chapter 9 (commencing with Section 7000) of Division 3 of the
Business and Professions Code) or that he or she Is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any
applicant for a permit subjects the applicant to a civil penalty of not more then five hundred, dollars ($500).
11. as owner of property, or my employees with wages as their sole compensation, will do (jmall or U portions of the work, and the structure is not
Intended or offered for sale (Sec. 7044 Business and Professions Code: The Contractors' State License Low does not apply to an owner of property who, through
employees' or personal efforts, builds or improves the property, provided that the Improvements are not Intended or offered for sale. If, however, the building or
0 I, as the owner of the property, am exclusively contracting with licensed Contractors to construct the project (Sec. 7044 Business and Professions Code:
The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for the projects with a licensed
Contractor pursuant to the Contractor's State License Law).
I am exempt from licensure under the Contractors, State License Law for the following reason:
Date Signature of Property Owner or Authorized Agent
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perllury one of the following declarations:
Q 1 have and will maintain a certificate of consent to self -Insure for worker's compensation, issued by the Director of Industrial Relations as provided for by
Section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued.
❑ I have and will maintain worker's compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued. My worker's Compensation insurance carrier and policy are:
Cartier: Policy No.: Expiration Date:
This section need not be completed If the permit Is for one hundred dollars (5100) or less.
I certify that in the performance of the work for which this permit is Issued, I shall not employ any person in any manner so as to become subject to the
worker's compensation laws of California, and agree that, if I should become subject to the worker's compensation provisions of Section 3700 of the
Labor Code. I shall forthwith comDly with those provisions.
Date Signature of Applicant
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES
AS PROVIDED FOR IN SECTION 3706 OR THE LABOR CODE. INTEREST. AND ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance I hereby affirm under penalty of perjury that I am
Lenders Information: licensed under provisions of chapter 9 (commencing with
Section 7000) of Division 3 of the Business and
I hereby certify that i have read this application and state that the information above is correct. I agree Professions Code.
to comply with all city ordinances and state laws relating building construction, and hereby authorize
represenfivespp�ff is city to$ it r upo the above mentioned property for inspection purposes. Date: 11/2412021
in IZ-7 / f'��% Contractor:
/I- 2N ZI
Dare ' SignItufe of Applicant or Agen
The premit shall expire by limitation and bcome null and void If the building or work has not passed
final inspection 365 days from the date of permit issuance. A new permit is required to commence or
continue work.
Number: SW12021-00144
TYPE:
Fees paid for Permit:
Expiration Date
$725.00
Permit Number: SW12021-00144
Issued: 11/24/2021
www.anaheim.net/building
(714)765-4626
Quarter Section: 114
Dear Property Owner:
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(7141765-5153
OWNER -BUILDER ACKNOWLEDGEMENT AND INFORMATION VERIFICATION FORM
An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements
specified at 2244 E VERMONT AVE. ANAHEIM, CA 92806.
We are providing you with an Owner -Builder Acknowledgement and Information Verification Form to make you aware of your
responsibilities and possible risk you may incur by having this permit issued in your name as the Owner -Builder.
We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this
form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner,
obtain the prior approval of the permitting; authority.
.�
Directions: Read and initial each statement below to signify you understand or verify this information.
Al1.1 understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder" building
51-1 permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an
Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person
and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those
injuries. I am willfully working as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to
2.1 understand building permits are not required to be signed by property owners unless they are responsible for the
construction and are not hiring a licensed Contractor to assume this responsibility.
3.1 understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect
myself from potential risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own.
4. 1 understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on
permits and contracts.
5.1 understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value
of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer"
under state and federal law.
A.1'
6.1 understand if I am considered an "employer" under state and federal law, I must register with the state and federal
government, withhold payroll taxes, provide workers's compensation disability insurance, and contribute to unemployment
compensation for each "employee". I also understand my failure to abide by these laws may subject me to serious financial
risk.
7.1 understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential
structures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed
subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed
under contract with a licensed general building Contractor.
8.1 understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any financial
or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the
workmanship or materials.
9. 1 understand I may obtain more information regarding my obligations as an "employer" from the internal Revenue Service,
the United States Small Business Administration, the California Department of Benefit Payments, and the California
Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at
1-800-321-CSLB (2752) or www.csib.ca.gov for more information about licensed contractors.
rkl 10.1 am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the
party legally and financially responsible for proposed construction activity at the following address: 2244 E VERMONT AVE,
Permit Number: SW1202140144
Issued: 11/24/2021
www.anaheim.net/building
(714)765.4626
Quarter Section: 114
CITY OF ANAHEIM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
17141 765 -5153
/�
Permit Number: SW12021-00144
9-(7 11.1 agree that, as the party Legally and financially responsible for this proposed construction activity, I will abide by all
applicable laws and requirements that govern Owner -Builders as well as employers.
12.1 agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I
have provided on this form. Licensed contractors are regulated by laws designed to protectl
Pe public. If you contract with
someone who does not have a license, the Contractors' State License Board may be unabto assist you with any
financialloss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil
court. It is also important for you to understand that if an unlicensed Contractor or employee,of that individual or firm is
injured while working on your property, you may be held liable for damages. If you obtairt`termit as Owner -Builder and
wish to hire
Contractors, you will be responsible for verifying whether or not those Contractors are properly licensed and the status of
their workers' compensation insurance coverage.
Before a building permit can be issued, this form must be completed and signed by the prope�owner and returned to the
agency responsible for issuing the permit.
Note: A copy of the property owner's driver's license, form notarization, or other verification acceptable to the agency is required
to be presentpl when 2erlmiissued to verify the property owner's signature.
Property Owner's Signature Date: